~ please print this page and mail it to the address below ~

 James Millikin Homestead Inc.
Membership Application

______ Regular Member - $25.00

______ Friend Member - $50.00

______ Patron Member - $100.00

______ Life Member - $1,000.00 (May be paid in four annual installments)

~ membership is tax deductible ~

please make check payable to:

James Millikin Homestead, Inc.
P.O. Box 1501
Decatur, Illinois 62525
 

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Address________________________________________________

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Telephone_____________________